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everen � <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vType or print clearly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVEflETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANII <br />HEREBV APPI.IES FOR P�RMISSION TO <br />AT THE FOLLOWING IOCATION <br />�:; _/_ .!� �; r . k�- <br />DRAWING (WORK TO 9E I)ONE) OR THREE PLANS ATTACHED: <br />PERMIT N0.,74//9 <br />��G��� <br />•�.!/✓�/�'...CJ— �'��L1�� " <br />�v �s �j� <br />}� , <br />1� -Q.-c.�-i��;�u.at_e�_ ,i���'um-Q. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEiV <br />ORAIN/ GE <br />STREET <br />DEPARTMENT APPROVALS <br />�' <br />DRIVEWAY SECTION <br />� � <br />+ I" LIP --� <br />� 30" 1 _l _ 30" <br />� -r <br />The un4ersigneC owner hereby agrces lo ho10 entl seve harmless <br />Ihe City ol Evere�t Irom any anE all claims lor Eameges, tosts. <br />expenses. or causes of action Ihat may arise becnuse ol mstallat�on <br />and mdint¢nanCP O� Ihe �ntp�ov¢ment Of Ot�er nghppl�wdy b5¢ <br />hereto applied for an� lurther agrees �o �emove same upon noiice <br />Iwm Ihe Cily ana lo �epla<e pub��c properlY �amage� Ineieby, <br />� COMMUNiC�ilONS \ <br />� TRAIFIC � ' '�/ .-, . <br />�\r �J `} � •\ i�.,�,". �.i. <br />PLANNING SIGNA�URE O AOC�i�ANi <br />L� <br />1 <br />. —{- � 1 • � l. ' � �. �' � � '1�. <br />ApDRE55 <br />1..'`l. . � ' <br />i. �. �. ( <br />Crtv vm <br />APPROVED FOR CONSTRUGiION DRIE <br />*ELEPNONE NUMBEA t n�iCqNniE <br />,. ' . �V <br />APPROVEO AS CONSTRUCTED DnTE ' OATE - <br />� � � __—_ __._ _ _— _ 1978 <br />